Open Left Pneumonectomy
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Open Left Pneumonectomy

This course will teach you:

  • The open surgical resection of one entire diseased lung. A pneumonectomy is performed mainly for malignant causes, and occasionally for benign causes

Special attention is paid to the following hazards you may encounter during this procedure:

  • Phrenic nerve damage
  • Tumor location in upper part of hilum
  • Endobronchial tube control before bronchus transection
  • Injury to left recurrent laryngeal nerve
  • Pericardium closure

With the following tips you might perform this procedure even better:

  • Identifying metastatic deposits or lymph node metastases
  • Pericardium incision in case of central tumor
  • Securing the pulmonary artery for proximal control
  • Marking of different vessel loops for arteries and veins
  • Order of transection of the vessels
  • Systematic mediastinal lymph node dissection
  • Drain placement

After studying this course you are familiar with the most common complications:

  • Prolonged air leakage
  • Nerve injury
  • Arrhythmia
  • Chyle leakage
  • Empyema
  • Brochopleural fistula

You might also be interested in Open Right  Superior Lobectomy

Step by step

Thoracic cavity approach

Thoracic cavity

Approach

The course “Thoracic Wall Approaches” discusses in detail how to open the thoracic wall. Enter the thoracic cavity in the fourth intercostal space (posterolateral side, muscle-sparing technique) and expose the collapsed left lung with a lung retractor.

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